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RECEIVE® <br />UNIFIED PROGRAM CONSOLIDATED FORM PAN 17201 <br />HAZARDOUS MATERIALS <br />HAZARDOUS MATERIALS INVENTORY - CHEMICAL DES C k4�dNOAQUIN <br />COON <br />(03/14/2011- 04:58:03 PM /CP <br />Page of <br />I. FACILITY INFORMATION <br />13USINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) <br />AT&T MOBILITY -MARINER'S DRIVE <br /> <br /> <br /> <br /> <br />rHEMICAL <br />0 YES[:] NO <br />FACILITY ID# I <br /> <br /> <br />II. CHEMICAL INFORMATION <br />CHEMICAL NAME 205 <br />TRADE SECRET (11) [3 YES ®NO <br />206 <br />LEAD ACID BATTERIES <br />If Subject to EPCRA, refer to instructions <br />COMMON NAME 207 <br />208 <br />BATTERIES <br />EHS* ® YES ❑ NO <br />CAS # 209 <br />SEE INVENTORY BELOW <br />*If EHS is "Yes', all amounts must be in lbs. <br />FIRE CODE HAZARD CLASSES (Complete if required by CUPA) <br />210 <br />LEAVE BLANK <br />HAZARDOUS MATERIAL ❑ a. PURE ® b. MIXTURE ❑ c. WASTE 211 <br />"TYPE (Check one item only) <br />RADIOACTIVE ❑ YES ® NO 212 <br />CURIES 0 <br />213 <br />PHYSICAL STATE <br />®SOLID ❑ LIUID <br />(Check one item only) Q ❑ GAS I <br />LARGEST CONTAINER 9S <br />215 <br />FED HAZARD CATEGORIES ❑ FIRE 19 REACTIVE ❑ PRESSURE RELEASE ® ACUTE HEALTH ® CHRONIC HEALTH <br />(Check all that apply) <br />216 <br />AVERAGE DAILY AMOUNT 217 <br />MAXIMUM DAILY AMOUNT 218 <br />ANNUAL WASTE AMOUNT 219 <br />STATE WASTE CODE <br />220 <br />1,505 <br />1,505 <br />0 <br />N/A <br />UNITS* ❑ GAL ❑ CU FT O LBS ❑ TONS 221 <br />DAYS ON SITE <br />222 <br />(Check on item only * If EHS, amount must be in pounds. 1365 <br />STORAGE ❑ ABOVE GROUND TANK ❑ CARBOY ❑ GLASS BOTTLE ❑ Other... <br />CONTAINER ❑ UNDER GROUND TANK ❑ SILO ❑ PLASTIC BOTTLE <br />❑ TANK INSIDE BUILDING ❑ FIBER DRUM ❑ TOTE BIN <br />❑ STEEL DRUM ❑ BAG ❑ TANK WAGON <br />❑ PLASTIC/NONMETALLIC DRUM ❑ BOX ❑ RAIL CAR <br />❑ CAN ❑ CYLINDER N OTHER <br />223 <br />STORAGE PRESSURE ®AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT <br />224 <br />STORAGE TEMPERATURE N AMBIENT ❑ ABOVE AMBIENT ❑ BELOW AMBIENT ❑ CRYOGENIC <br />225 <br />%WT <br />HAZARDOUS COMPONENT (For mixture or waste onl <br />EHS <br />CAS# <br />72% 226 <br />LEAD (PB) 227 <br />❑ YES ® NO 228 <br />7439-92-1 <br />229 <br />8% 230 <br />SULFURIC ACID (H2SO4) 231 <br />®YES ❑ NO 232 <br />7664-93-9 <br />233 <br />10% 234 <br />WATER 235 <br />❑ YES ® NO 236 <br />7732-18-5 <br />237 <br />238 <br />239 <br />[3YES C3 No 240 <br />241 <br />242 <br />243 <br />❑ YES ❑ NO 244 <br />245 <br />ADDITIONAL LOCALLY COLLECTED INFORMATION: (33) UNITED NATIONS ID# (DO"r) 2794 <br />246 <br />(34) WHAT IS MATERIAL <br />USED FOR? EMERGENCY BACK-UP BATTERIES <br />UPCF (Rev. 12/2(X)7) If EPCRA, Please Sign Here <br />